Shannon L Soderberg, APRN-NP in Omaha, NE - Medicare Nurse Practitioner

Shannon L Soderberg, APRN-NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Omaha, Nebraska. Her current practice location is 1000 N 90th St Ste 200, Omaha, Nebraska. You can reach out to her office (for appointments etc.) via phone at (402) 955-3900.

Shannon L Soderberg is licensed to practice in Nebraska (license number 114272) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1194459875.

Contact Information

	Shannon L Soderberg, APRN-NP
	1000 N 90th St Ste 200, Omaha, NE 68114-2766
	(402) 955-3900
	(402) 955-3920

Map and Direction

Provider's Profile

Full Name	Shannon L Soderberg
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1000 N 90th St Ste 200, Omaha, Nebraska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194459875
Provider Enumeration Date: 07/11/2022
Last Update Date: 11/16/2023

Medicare PECOS Information:

PECOS PAC ID: 8224414198
Enrollment ID: I20220929001604

Medical Identifiers

Medical identifiers for Shannon L Soderberg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194459875	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	114272 (Nebraska)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shannon L Soderberg allows following entities to bill medicare on her behalf.

Entity Name	Regional West Physicians Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306910534 PECOS PAC ID: 2062301609 Enrollment ID: O20040315001274

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shannon L Soderberg is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Shannon L Soderberg, APRN-NP Po Box 24607, Omaha, NE 68124-0607 Ph: (402) 955-5400	Shannon L Soderberg, APRN-NP 1000 N 90th St Ste 200, Omaha, NE 68114-2766 Ph: (402) 955-3900

Reviews and Comments

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Shannon L Soderberg, APRN-NP - Medicare Nurse Practitioner in Omaha, NE